Anorectal Malformations Complications

Stay Current in Pediatric Surgery

In this episode, Dr. Marc Levitt from Nationwide Children’s Hospital discusses complications of anorectal malformations. This episode is brought to you by the Center for Colorectal and Pelvic Reconstruction at Nationwide Children’s Hospital. Our collaborative team performs more than 1,000 procedures each year for kids from around the world. Visit nationwidechildrens.org/CCPR for more information. Table of contents: 00:00 – Play from the beginning 02:29 – Missed perineal fistula in a male 04:47 – Does surgical correction of a missed perineal fistula improve constipation? 05:57 – Physical exam for perineal fistula 07:27 – Perineal fistula in a female 09:50 – Anal sphincter stimulation 12:12 – Recto-urethral fistula 13:53 – Missed cloaca 16:42 – Common colostomy problems 17:39 – Incompletely diverting loop colostomy 18:28 – Transverse colostomy 19:14 – Dr Levitt’s preferred colostomy 20:53 – Anoplasty techniques 23:17 – Distal colostogram 26:34 – Identifying the distal rectum 29:54 – PSARP vs laparoscopy 32:50 – Rectal prolapse 35:27 – Perineal body dehiscence 38:31 – Problems with laparoscopy 40:12 – Problems with PSARP 41:36 – Postoperative soiling 44:33 – Redo pull-through 45:44 – Closing remarks